Vantage at Andover LLC

In the surveyor’s words

From the most serious findings on record at Vantage at Andover LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF584Aug 21, 2025

  Based on observations and interviews, the facility failed to ensure resident rooms were maintained in good repair, clean and homelike on 2 of 3 resident care units.Findings include: On 8/19/25 & 8/21/24, following was observations were made on the first-floor unit in the following rooms:room [ROOM NUMBER]: The closet doors were missing and there was a scuffed metal frame around the doorway that appeared altered or broken with bent metal, chipped paint and cracked plaster along the wall. There was large discoloration located on two tiles visible from the hallway in the resident's closet that appeared to be water stains that were dark brown and spanned across two ceiling tiles. room [ROOM NUMBER]: The bathroom had one wet white blanket placed on the floor under the bathroom sink. […]

• No harm, potential for more than minimal, patternF842Aug 21, 2025

  Based on observations, interviews, and record reviews, the facility failed to accurately document in the medical record for four Residents (#12, #67, #95, and #96) out of 24 total sampled residents. Specifically,1.) For Resident #12, the facility failed to ensure nursing documented weekly blood sugar checks and administration of hydrocodone-acetaminophen (a narcotic pain medication).2.) For Resident #67, the facility failed to ensure nursing accurately documented that seizure pads were not applied to bilateral side rails when in bed.3.) For Resident #95, the facility failed to ensure dressing changes were accurately documented. […]

• No harm, potential for more than minimal, patternF812Aug 8, 2024

  Based on observation, record review and interview the facility failed to ensure proper food handling practices to prevent cross contamination during the meal distribution service in the kitchen. Findings include: Review of the facility's policy titled Handwashing-Glove, manual Dietary Services, dated 9/14/20 indicated the following: Purpose Guidelines for hand washing and glove use to promote safe and sanitary conditions throughout the department. Hand washing procedure- 1. Hand washing is a priority for infection control. 2. Hands must be washed prior to beginning work, after using the restroom, after smoking, when working with different food substances. raw chicken to fresh fruit, following contact with any unsanitary surface i.e. touching hair sneezing opening door etc. […]

• No harm, potential for more than minimal, patternF812May 31, 2022

  Based on observation, policy review and interview, the facility failed to ensure that staff 1) ensured food items in one out of two of the nourishment kitchens, walk-in refrigerator, and servers' refrigerator were labeled, dated, and maintained safely to prevent the outbreak of foodborne illness and 2) follow proper sanitation and food handling practices. Findings include: 1) Review of the facility policy titled Food Receiving and Storage, not dated, indicated that all foods stored in the refrigerator will be covered, labeled, and dated (use by date). Foods shall be received and stored in a manner that complies with safe food handling practices. […]

• No harm, potential for more than minimal, isolatedF583Aug 21, 2025

  Based on observations and interviews, the facility failed to ensure resident protected health information (PHI) was secure and not visible to others on one of two nursing units. Findings include: Review of the facility policy titled HIPAA (Health Insurance Portability and Accountability Act), dated as revised 7/12/2012, indicated: It is the policy of the facility to limit access of confidential healthcare information to the minimum necessary - need to Know for the purpose of providing patient care. Individuals shall not access information for those in which they are not responsible for the provision of healthcare. […]